Fax to:
Michelle Payne
Fax: 916-985-6884
Mail to:
A Hand UP Coaching
c/o donations
17817 W. 69th Terrace
Shawnee Mission, KS 66217
Name:____________________________________________________
Address:__________________________________________________
City:___________________________State:_______ZIP:__________
Phone:______________________________________________________
Method of payment: _____Check____Visa____Mastercard
Credit Card #___________________________Expiration Date:__________
Signature:________________________________________________
Amount of Donation: $_______
You will receive a receipt for your tax-deductible donation via mail within 2 weeks.
THANK YOU FOR YOUR SUPPORT